CERTIFICATE
Of Thorough Visual Examination of Loader Crane
Certificate No: _VKSA/MACO/130005_ STICKER#58070 Date of Inspection: _0
‘Name and Address of the Owner: Place of Inspection: | Ref. Standard:
ALMANAR DAMMAM | BS EN 7121-2 PART 4
AL MANAR ARABIAN CORP. YARD
P.O. BOX 10257, Dammam-31433 Maker & Date of Manufacture:
KINGDOM OF SAUDI ARABIA
PALFINGER / 2014
Registration No. ‘Owner No.: Model No. ‘Serial No.:
2300 NVA 632 Pk 88002 EH 100181226
‘Crane Details
LOADER CRANE, BOOM LENGTH IS 5.9 Mtrs, and THE CAPACITY IS 12.5 TONNE AT 4.0 Mtr WORKING
RADIOUS
Maxi. Outreach: 22 Mtr.
Description of Test: 0 Ww ai w)
Length of | Radius | TestLoad | S.W.L,
A THOROUGH EXAMINATION OF THE BOOM TRUCK Was | BOO” Mes TONNE coe
DONE AND A FULL FUNCTIONAL TEST PERFORMED TO
CHECK THE HOISTING, LOWERING & SWINGING
THROUGH ACCESIBLE AREAS, ON OUTRIGGERS FULLY
EXTENDED,
‘THE LOADER CRANE WAS FOUND SATISFACTORY FOR 59 an wa 125
FURTHER USE
Note: This Loader Crane should not be used in
potential explosive areas without spark arrestor
Date of Last Visual Date of Next Visual | Date of Last Proof Load
Examination Examination Test
10.06.2019 05.05.2020 N/A
Date of Issue: 07.11.2019
‘Authorized Name:
Authorized Signature XX
Surveyors Signature:
Surveyor's Name: AKHIL CP.
THIS IS TO CERTIFY THAT the above signed competent surveyor has thoroughly and visually examined and tested
the lifting equipment in the above-mentioned place as per relevant standard. The liabilities and insurance is as per
Velosi Saudi Arabia Co. Ltd,Annex to Certificate Of Thorough Visual Examination
Certificate No: _VKSA/MACO/130005 Date of Inspection: _ 06.21.2019
[no. [| __DeSCRIPTIOI CONDITION |
1, | SAFE LOAD INDICATOR REMOTE CONTROL |
[2 | bury cHarT ee | SaTisractory |
3._| IDENTIFICATION ON CONTROLS LEVERS. SATISFACTORY [ 7
4. | 800M SECTION "__ SATISFACTORY
[5._ [MAIN HOIST WIRE ROPE SATISFACTORY | =
| s._| MAIN HOIST WINCH — SATISFACTORY
7._| ELECTRICAL SYSTEM ; SATISFACTORY
8, | LIGHTINGS, HORNS SATISFACTORY
9._ | HYDRAULIC SYSTEM SATISFACTORY _|
10. | OUTRIGGERS / CARRIER ‘SATISFACTORY
“11._ | WINDSHIELDS / MIRRORS — SATISFACTORY
12, | HOOKBLOCK / SAFETY LATCH / SHEAVES SATISFACTORY
13, | SWING MECHANISM - SATISFACTORY
14, | BRAKES SYSTEM - SATISFACTORY
| 15. | TyRES — SATISFACTORY
16. | CONTROL LEVERS SATISFACTORY
ROTATING WARNING LIGHT SATISFACTORY
REVERSE HORN SATISFACTORY
FIRE EXTINGUISHER SATISFACTORY
20. | EXHAUST SYSTEM / SPARK ARRESTOR SATISFACTORY :
21._| SAFETY MARKINGS = ___ SATISFACTORY
22._| POWER UNTT - CARRIER ‘SATISFACTORY
23._ | GENERAL CONDITIONS SATISFACTORY
COMMENTS: AT THE TIME OF INSPECTION THE EQUIPMENT WAS FOUND SATISFACTORY,
‘Surveyor’s Name: AKHIL C.P, Surveyor’ Signature:
‘This ceticat fs granted subject to the condition that It understood and agreed that nothing here in contained, ‘eemed to raiave any designer
‘manufacture, sll, supplier or operator of any waranty expres o implied and Velo! Saud Arabia Co.Ltd, ab Delimited to the acts or omission of 5
‘employees, agents and subcontractors. Under no cieumstance whatsoever shall Velo: Saud Arab Co. Lid, be fable for any injury or damage to any person or
property oF occuring by zasan of negigent operation or any defect in ll Sesign, material, mechinery, equipment arotheritems other than such defects asceranable
by normaly accepted standards and ony those items actual inspected by Velosi Saud Arabia Co. ed. and whch covered by this carchcate
LUABILTY The Gent or ths asianse or supervisor in interest agrees to tly and hold harass Velos Saudi Arabia Co td. rom aad aginst any anal laims
‘demands, lawsuits oF actions for damages including legal fees to persons and/or prooerty tangible, intangible or othewise which may be against, Veos Saudi Arabia
o,Ud. incidental to, arsng out of on connection wth the work tobe done, services tobe performed or material tobe fumished hereunder except fr those claims
caused solely and completly by the negigance of Velox Saud Arabia Co Ls airectore, ofhces, employees a auo-contractors